ADA TV Setup Questionnaire

ADA TV Setup Questionnaire

Please fill out this form with all relevant information to assist us with the ADA TV setup.

If you have any questions regarding the information above, you can send an email to [email protected] . You can also call our support line at (888) 840-0739.

Practice Name:*

Website URL

example: www.mywebsite.com or www.pbhs.com

Contact Phone Number*

Contact E-mail Address*

If PBHS Support has any questions, we would like to use this e-mail to communicate.

Do you want us to include your Launch Survey testimonials?*

Yes

No

I don't have Launch Survey

Do you want us to include any videos from YouTube?*

Yes

No

Please copy and paste the URLs to the YouTube videos you want to include

Do you want us to link your Facebook page?*

Yes

No

I don't have a Facebook page

Please provide your business Facebook page URL:

Facebook Page Login Email:

Note: If these credentials are not provided or are inaccurate, PBHS will not be able to set up Facebook integration.

Facebook Page Login Password:

Note: If these credentials are not provided or are inaccurate, PBHS will not be able to set up Facebook integration.

The ADA TV system comes with a news ticker (cyron) that plays at the bottom of the screen and can be customized with different news feeds. Please select all the categories you would like displayed:*

Local Weather

Entertainment News

Financial News

Health News

Sports News

None of the above

The ADA TV system also comes with optional Entertainment YouTube videos. These videos are curated and automatically updated periodically. Please select any of the following categories you would like on your device:*

NOTE: These videos are streamed directly to the ADA TV device and require a robust internet connection to function reliably.

Talk Shows (Jimmy Kimmel, The Tonight Show, The Late Show, etc.)

DIY Home (HGTV, HouzzTV, Living Big in a Tiny House, etc.)

Science and Tech (TED, TechCrunch, CNN, BBC, etc.)

Food (Gordon Ramsay, Food Network, Jamie Oliver, etc.)

Health (HealthDay)

None of the above

What address(es) would you like us to ship your ADA TV to? (If you have ordered multiple devices, you may include multiple addresses.)*

Thank you for completing this form. Please click the "Submit" button below.

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